Individual
WILLIAM ISAAC WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
5302 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(865) 541-6958
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7364
TN
1041C0700X
Clinical Social Worker
P010602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q060418
—
TN
Enumeration date
02/16/2017
Last updated
03/07/2024
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